Healthicity Blog

It’s not uncommon for organizations to create a compliance program, brush the dust off of their hands and go, “There! Finished!” and leave things that way for eternity.

What do you do when you’re running an exclusion check on an employee or vendor and you receive a positive match? Does a positive match automatically mean that person can’t work for you?

Last month the OCR announced a $3.5 million settlement with Fresenius Medical Care North America (FMCNA).

The Vermont hospital, Brattleboro Memorial, recently paid $1.6 million to the U.S. and State of Vermont to resolve allegations of false claims.

A few weeks ago, we presented a webinar on the impact of the 60-day overpayment rule since its release two years ago. We had so many questions at the end of the webinar, we couldn’t get to all of them.

According to a recent post on Justice.gov, “A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.”

A little over a month ago, I blogged about the OIG guidance regarding compliance requirements and risks associated with grants.

For years, the OIG has been performing Hospital Compliance Reviews that are essentially data-driven billing analyses of inpatient and outpatient reimbursement.